Mark Shannon, MD is a medicare enrolled "Internal Medicine" physician in Barrington, Rhode Island. His current practice location is
42 Lincoln Ave, Barrington, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 246-0389.
Mark Shannon is licensed to practice in Rhode Island (license number MD7250) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508941089.
Physician's Profile
Full Name | Mark Shannon |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 42 Lincoln Ave, Barrington, Rhode Island |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508941089
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7517026099
- Enrollment ID: I20081113000039
Medical Identifiers
Medical identifiers for Mark Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508941089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD7250 (Rhode Island) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark Shannon allows following entities to bill medicare on his behalf.
Entity Name | Prospect Chartercare Sjhsri Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588089759 PECOS PAC ID: 7315179314 Enrollment ID: O20140722001928 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Shannon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mark Shannon, MD 42 Lincoln Ave, Barrington, RI 02806-2136 Ph: (401) 246-0389 | Mark Shannon, MD 42 Lincoln Ave, Barrington, RI 02806-2136 Ph: (401) 246-0389 |
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